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Guia Lumbalgia (cambios 8 feb).FH10 - Digemid

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6.1.3 Mantener el mayor grado posible de actividad físicaRecomendaciónAconseje al paciente que mantenga el mayor grado de actividad física diaria quele permita el dolor, incluyendo el trabajo si es posible.IndicaciónTodos los pacientes con lumbalgia.EvidenciaAconsejar mantener el mayor grado de actividad posible mejorael dolor y el grado de incapacidad, y acorta el período de bajalaboralNivel ABibliografía1. Bigos S, Bowyer O, Braen G et al. Acute low back problems in adults. Clinical practice guidelineno. 14. AHCPR publication no. 95-0642. Rockville, MD: Agency for Health Care Policy andResearch, Public Health Service, U.S. Department of Health and Human Services. December1994.2. ACC and the National Health Committee. New Zealand Acute Low Back Pain Guide. Wellington,New Zealand, 1997.3. Bekkering GE, van Tulder MW, Hendriks HJM, Oostendorp RAB, Koes BW, Ostelo RWJG,Thomassen J. Dutch physiotherapy guideline for low back pain. (KNGF richtlijn lage rugpijn) NedTijdschr Fysiother 2001;111 (Suppl. 3): 1-24.4. Borkan J, Reis S, Werner S, Ribak J, Prath A. Guidelines for treating low back pain in primarycare (Hebrew; available in English). The Israeli Low Back Pain Guideline Group. Harfuah 1996;130: 145-151.5. Danish Institute for Health Technology Assessment: Low back pain. Frequency, managementand prevention from an HTA perspective. Danish Health Technology Assessment 1999.6. Faas A, Chavannes AW, Koes BW, Van den Hoogen JMM, Mens JMA, Smeele IJM, RomeijndersACM, Van der Laan JR. Clinical practice guidelines for low back pain. (Dutch, available in English).Huisarts Wet 1996;39:18-31.7. Hagen EM, Eriksen HR, Ursin H. Does early intervention with a light mobilization program reducelong-term sick leave for low back pain? Spine 2000; 25: 1973-6.8. Hilde G, Hagen KB, Jamtvedt G, Winnem M. Advice to stay active as a single treatment for lowback pain and sciatica (Cochrane Review). In: The Cochrane Library, Issue 1, 2004. Chichester,UK: John Wiley & Sons, Ltd.9. Keel P, Perini Ch, Schutz-Petitjean D, et al Chronicisation des douleurs du dos: problematique,issues. Rapport final du Programme National de Recherche No 26B. Bale: Editions EULAR 1996.10.Keel P, Weber M, Roux E, et al. Kreuzschmerzen: Hintergründe, prävention, behandlung.Basisdokumentation. Verbindung der Schweizer Ärzte (FMH), Bern, 1998.11.Malmivaara A, Kotilainen E, Laasonen E, Poussa M, Rasmussen M, Clinical Practice Guidelines:diseases of the low back. (Finnish, available in English) The Finnish Medical Association Duodecim1999.59 59

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